DALE ADAM VANDERWAAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135279

License Status

NOT RENEWED

Business

Title

First Name

DALE

Middle

ADAM

Last Name

VANDERWAAL

Business Name

DALE ADAM VANDERWAAL MD

Original Issue Date

05/07/2014

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

ASHEVILLE

State

Zip

28806

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/19/2026